Provider Demographics
NPI:1801996137
Name:COHEN, WENDY S (MD)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:S
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE WESTWOOD GROUP
Mailing Address - Street 2:5821 STAPLES MILL ROAD
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228
Mailing Address - Country:US
Mailing Address - Phone:804-264-0966
Mailing Address - Fax:
Practice Address - Street 1:THE WESTWOOD GROUP
Practice Address - Street 2:5821 STAPLES MILL RD.
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228
Practice Address - Country:US
Practice Address - Phone:804-264-0966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012307672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA138524OtherANTHEM BCBS
VA512518OtherVALUE OPTIONS
VA2316404OtherONENET
VA718330000OtherMAGELLAN
VA0102300012Medicaid
VA004805C11Medicare ID - Type Unspecified